What are the most effective treatments for acne scars. How can different types of acne scars be addressed. Which factors should be considered when choosing an acne scar treatment. What role does professional expertise play in acne scar reduction.

Understanding Acne Scars: Types and Characteristics

Acne scars are a common aftermath of severe acne, often leaving lasting marks on the skin. These scars can be categorized into three main types:

• Rolling Scars: Characterized by shallow depressions with sloped edges
• Boxcar Scars: The most common type, appearing as crater-like indentations
• Icepick Scars: Deep, narrow scars that are typically more severe

Understanding the type of acne scars present is crucial for determining the most effective treatment approach. Many individuals may have a combination of these scar types, necessitating a tailored treatment plan.

Innovative Treatment Modalities for Acne Scar Reduction

Advancements in dermatological technology have led to the development of various effective treatments for acne scars. Some of the most promising modalities include:

Laser Resurfacing

This technique utilizes laser energy to remove the topmost layers of skin, effectively eliminating scar tissue cells. How does laser resurfacing work? It not only removes damaged skin but also stimulates the body’s natural healing process, promoting skin rejuvenation and collagen production.

Microneedling

Microneedling involves creating tiny “micro-channels” in the upper layers of the skin. This process triggers the body’s wound response, stimulating collagen production and promoting skin regeneration. Is microneedling suitable for all skin types? While generally safe for most skin types, a professional assessment is necessary to determine its suitability for individual cases.

PRP Injections

Platelet-Rich Plasma (PRP) therapy utilizes the patient’s own blood to extract growth factors. When injected into the treatment area, these growth factors promote skin healing and rejuvenation. How effective is PRP for acne scars? Many patients experience significant improvements in skin texture and overall appearance with PRP treatments.

Subcision

This precise procedure involves breaking up the underlying scar tissue. Subcision can be particularly effective when combined with other treatments like laser resurfacing. What makes subcision unique in acne scar treatment? Its ability to target the deeper layers of scar tissue sets it apart from surface-level treatments.

Customized Treatment Plans: The Key to Effective Scar Reduction

Given the unique nature of acne scarring, a one-size-fits-all approach is often ineffective. Customized treatment plans take into account various factors:

• Skin type and tone
• Scar type and severity
• Patient’s medical history
• Individual treatment goals

By considering these factors, dermatologists can create a tailored approach that maximizes results while minimizing potential side effects. How important is professional consultation in developing a treatment plan? It’s crucial, as experts can accurately assess the scarring and recommend the most suitable combination of treatments.

The Role of Advanced Technology in Acne Scar Treatment

State-of-the-art technology plays a pivotal role in modern acne scar treatments. Advanced devices allow for more precise, effective, and less invasive procedures. Some cutting-edge technologies include:

• Fractional laser systems
• Radiofrequency microneedling devices
• High-intensity focused ultrasound (HIFU) machines

These technologies offer improved results with shorter recovery times. How do technological advancements benefit patients? They allow for more targeted treatments, reduced discomfort, and often lead to better overall outcomes.

Combining Treatment Modalities for Enhanced Results

Many dermatologists find that combining different treatment modalities can yield superior results. For instance, a treatment plan might include:

1. Initial subcision to break up deep scar tissue
2. Followed by laser resurfacing to improve skin texture
3. Complemented by PRP injections to enhance healing

This multi-faceted approach addresses different aspects of scarring simultaneously. Why is a combination approach often more effective? It targets various layers and components of the skin, addressing both superficial and deep scarring for more comprehensive improvement.

The Importance of Post-Treatment Care in Acne Scar Reduction

Proper post-treatment care is essential for optimizing results and minimizing complications. Key aspects of aftercare include:

• Strict sun protection to prevent hyperpigmentation
• Gentle skincare routines to avoid irritation
• Adherence to prescribed topical treatments
• Regular follow-up appointments to monitor progress

Patients who diligently follow post-treatment instructions often experience better outcomes. How does aftercare impact the overall success of acne scar treatment? It helps maintain the results achieved through treatment and prevents potential complications that could compromise the healing process.

Psychological Impact of Acne Scar Treatment

The benefits of acne scar treatment extend beyond physical improvements. Many patients experience significant psychological benefits, including:

• Increased self-confidence
• Improved social interactions
• Reduced anxiety related to appearance
• Enhanced overall quality of life

These psychological improvements often have far-reaching effects on various aspects of a person’s life. How does addressing acne scars contribute to mental well-being? By improving physical appearance, individuals often feel more confident and less self-conscious, leading to positive changes in their personal and professional lives.

Long-Term Management and Maintenance

Acne scar treatment is not always a one-time solution. Long-term management may involve:

• Periodic touch-up treatments
• Ongoing skincare regimens
• Regular dermatological check-ups

This ongoing care helps maintain the results achieved through initial treatments. Why is long-term management crucial in acne scar treatment? It helps preserve the improvements made and addresses any new concerns that may arise, ensuring lasting results.

Emerging Trends and Future Directions in Acne Scar Treatment

The field of acne scar treatment is continually evolving, with new techniques and technologies on the horizon. Some promising developments include:

• Advanced stem cell therapies
• Nanotechnology-based treatments
• Personalized genetic approaches to scar prevention

These innovations hold the potential to revolutionize acne scar treatment in the coming years. How might future treatments differ from current options? They may offer even more targeted, personalized approaches with improved efficacy and reduced recovery times.

The Role of Diet and Lifestyle in Supporting Acne Scar Treatment

While not a direct treatment for acne scars, diet and lifestyle factors can play a supportive role in overall skin health. Consider the following:

• A balanced diet rich in vitamins and antioxidants
• Adequate hydration for skin health
• Stress management techniques
• Regular exercise to promote circulation

These factors can contribute to better skin healing and overall health. How do lifestyle choices impact acne scar treatment outcomes? A healthy lifestyle can enhance the body’s natural healing processes, potentially improving the results of professional treatments.

Choosing the Right Professional for Acne Scar Treatment

Selecting a qualified and experienced professional is crucial for achieving optimal results in acne scar treatment. Key factors to consider include:

• Board certification in dermatology or plastic surgery
• Extensive experience in treating acne scars
• Access to advanced treatment technologies
• Positive patient reviews and testimonials

A skilled practitioner can make a significant difference in treatment outcomes. Why is professional expertise so important in acne scar treatment? The complexity of acne scarring requires a deep understanding of skin anatomy, various treatment modalities, and the ability to create customized treatment plans for each patient.

Cost Considerations and Insurance Coverage

The cost of acne scar treatment can vary widely depending on the type of treatment, the number of sessions required, and the practitioner’s expertise. Important considerations include:

• Upfront costs vs. long-term value
• Potential for insurance coverage (typically limited for cosmetic procedures)
• Financing options offered by treatment providers

While cost is a factor, it’s important to prioritize quality and safety in treatment decisions. How can patients balance cost considerations with treatment efficacy? Consulting with multiple professionals, understanding the full scope of treatment plans, and exploring financing options can help make informed decisions.

Patient Education and Realistic Expectations

Educating patients about the treatment process and setting realistic expectations is crucial for satisfaction with acne scar treatment. Key points include:

• Understanding that complete scar removal may not always be possible
• Recognizing that multiple treatments may be necessary
• Being aware of potential side effects and recovery times
• Appreciating the gradual nature of improvement in many cases

Well-informed patients are often more satisfied with their treatment outcomes. Why is patient education so important in acne scar treatment? It helps manage expectations, improves compliance with treatment protocols, and leads to better overall satisfaction with the results achieved.

The Impact of Skin Type and Ethnicity on Treatment Approaches

Different skin types and ethnicities may respond differently to various acne scar treatments. Considerations include:

• Increased risk of hyperpigmentation in darker skin tones
• Varying healing responses across different ethnicities
• The need for customized treatment intensities based on skin sensitivity

Tailoring treatments to individual skin characteristics is crucial for optimal results. How does skin type influence treatment selection? It affects the choice of treatment modalities, intensity settings, and post-treatment care protocols to ensure safety and efficacy across diverse patient populations.

Acne Scar Treatment Spokane | Acne Treatment in Spokane

Freeing yourself from the presence of acne is an incredible accomplishment, but it can sometimes leave behind unfortunate scarring that lingers for the rest of your life. This unfortunate reminder might not pose any kind of medical risk, but they can be cosmetically upsetting, and are more often than not a source of frustration. Clinic 5C offers acne scar treatments in Spokane that can help to clear your skin and allow you to look and feel better than ever before.

Acne Treatment in Spokane

One of the challenges that comes with acne scarring is that it’s a highly unique condition, and often requires a customized treatment plan, to properly address the issue. We work closely with each one of our patients to come up with a plan to clear you skin and leave you looking fresh.

We offer a number of non-invasive, non-surgical options that can help reduce the appearance of acne scars. We can treat a variety of scarring types, and can deal with mild to severe scarring — just reach out and set up your in-person consultation to learn more about how we can help!

Types of Acne Scars

Acne scars are often broken down into three different types: rolling, boxcar and ice pick scars. Many people often have a mixed amount of each type, and treatment options for each can vary – the best combination should be determined with an in person consultation.

Rolling Scars

Rolling acne scars typically look like little indentations in the skin, with sloped edges.

Boxcar Scars

This is the most common type of acne car, and usually looks like a crater or divot in the skin.

Icepick Scars

These scars tend to be deeper and more narrow, and are usually more severe.

Treatment Modalities

The modalities we use will be custom-tailored to your individual needs, which includes your skin type in the exact type of ice pick scarring that you have. I often employ a combination of the following modalities:

Laser Resurfacing

This treatment is a highly effective way to reduce the presence of acne scarring, by removing the topmost layers of skin, using laser energy. Not only does this remove the scar tissue cells themselves, but it encourages your body’s natural healing process, which rejuvenates the area.

Microneedling

By placing tiny “micro-channels” into the upper layers of the skin, the microneedling process stimulates your body’s natural wound response. This healing process can help to lessen the presence of acne scarring by sending healing compounds to the treatment area.

PRP Injection

Made from the patient’s own blood, platelet rich plasma (also known as PRP) contains your own naturally-occurring growth factors. When injected into the treatment area, these growth factors and restorative compounds help to clear and refresh the skin in a noticeable way.

Subcision

This highly precise procedure involves breaking up the underlying tissues that constitute your acne scars, and can often be combined with other modalities (like laser resurfacing, for example) to achieve the most optimal results possible.

Before & After

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The ÔPTIM Distinction

Dr.

Chesnut’s Commitment to Innovation

Here at Clinic 5C, we’re committed to bringing you the most advanced procedures, with the most state-of-the-art technology possible. We’re committed not only to the most advanced procedures, but to the most effective recovery treatments, as well. We work closely with each and every one of our patients, and we’ll come up with a customized treatment plan that is tailored not only to your specific goals, but is designed around your specific anatomy and skin qualities, as well.

Reach out today, and set up an in-person consultation to learn more about how Clinic 5C can help you with acne scar treatment in Spokane. We offer a number of treatments that can help to significantly reduce the presence of acne scarring, and the discomfort that so often comes right along with it.

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Acne Scar Removal – California Skin Institute

Dealing with acne scars is perhaps one of the most frustrating issues for teenagers and adults alike. In many cases, the patient may even have acne under control, but the scars serve as a continued reminder of the problem, thus never allowing the individual to truly move on with their life and build a healthy self-image.

To help patients address the hyperpigmented lesions and rough skin texture associated with scarring, California Skin Institute providers can utilize a variety of treatments and technologies that, in many cases, can completely remove reminders of previous breakouts. We achieve this by combining expertise with compassionate care; giving each patient the individualized attention they deserve and creating customized treatment plans that reflect your unique needs.

Face Masks and Peels for Acne Scar Treatment

One way that California Skin Institute providers help patients achieve brighter skin and smoother skin texture is through the use of specialized face masks and chemical peels. For example, many patients benefit from glycolic acid acne treatments. Glycolic acid treatments are typically a better choice for individuals struggling with mild to moderate acne scars. The acid is gentle enough to avoid excessive peeling and flaking, but is strong enough to promote exfoliation. The exfoliating benefits lead to a faster removal of hyperpigmented skin lesions and can improve skin texture. Further, glycolic acid helps keep the pores clean, to reduce the appearance of blackheads.

When an individual has severe scarring that covers a large surface area of the skin, a TCA peel may be a more viable option. This procedure is a much stronger acne scar treatment and can result in skin peeling and crusting afterwards. In many cases, patients undergoing a TCA peel may need to take several days off work in order to allow the skin to heal. However, because the TCA peel is more aggressive, just one treatment can yield dramatic improvements in skin appearance (as opposed to multiple treatments with glycolic acid).

In addition to peels, California Skin Institute providers can also administer a number of face mask acne scar treatments. For example, many patients have benefited from enzyme masks, which gently exfoliate the skin. Others have experienced improvements in skin texture from retinol face masks, which promote a healthier skin cycle and stimulate the shedding of dead cells.

Dermabrasion for Acne Scars

Although chemical exfoliation can be very helpful for acne scar treatment, some patients may see better outcomes with physical exfoliation via dermabrasion. In such situations, California Skin Institute providers can utilize traditional microdermabrasion, which relies on tiny crystals to slough off top layers of damaged skin. This can be a powerful procedure, as it can produce a smoother skin texture after just a few treatments.

In addition to traditional microdermabrasion, providers can also utilize DermaSweep technology. Instead of crystals, this device relies on tiny bristles that physically scrape the skin. One of the benefits of DermaSweep is the suctioning technology that immediately pulls away exfoliated skin cells, to reduce the chances of pore clogging. Further, the device can be used to perform serum infusions after treatment, to promote collagen growth and reduce hyperpigmentation.

Microneedling for Acne Scars

In cases where spot treatment is needed, providers may suggest the use of MicroPen microneedling treatments. The idea behind this procedure is to use tiny needles that make very small puncture wounds in the skin.

The process helps break up clusters of hyperpigmented cells, and stimulates the body’s healing response, which in turn boosts production of collagen. Special serums can also be used during treatment, to deliver healthy ingredients deep into the skin via channels created by the tiny needles.

Laser Acne Scar Treatments

When a patient is struggling with severe scarring, laser acne scar treatments may be a viable choice. The idea behind laser treatments is to cause targeted micro damage to the skin, which will promote the removal of damaged cells and stimulate the growth of smooth, healthy skin. These treatments are often associated with longer recovery times; however, they also produce faster outcomes because laser procedures are a bit more aggressive.

Further, even laser treatments have different levels of intensity. For example, the Fraxel Dual is a non-ablative laser that can yield favorable outcomes for moderate acne, while ablative technology like Fraxel re:pair and Lutronic eCO2 provide for a more aggressive treatment, with longer down time.

If you do opt for a laser acne scar treatment, your California Skin Institute provider will discuss the pros and cons of each procedure with you in detail, and will assist you with choosing the best treatment path that will not interfere with your regular routine.

Subcision and TCA Cross Technique

Some patients struggling with deep acne scars (also known as boxcar or ice pick scars) may be candidates for treatments with subcision or the TCA Cross Technique.

During subcision treatments, your California Skin Institute provider will use a very small needle to separate the bottom of the scar from the underlying tissue below the skin. The body will work to repair this micro damage by growing more healthy tissue and collagen, thus reducing the depth of the scar. Several treatments may be needed to achieve optimal outcomes, with each successive procedure stimulating more tissue growth, thus raising the scar.

The TCA Cross Technique relies on trichloroacetic acid to stimulate collagen production. However, unlike a TCA peel which is meant to resurface a larger treatment area, the Cross Technique is used for spot treatment. Small amounts of the acid are applied to the base of the scar, which causes micro damage and stimulates the body’s natural healing processes. After several treatments, the acne scar will become shallower and less visible.

Starting Your Acne Scar Treatment

The first step toward reducing the appearance of your acne scars is to schedule an individualized consultation with a California Skin Institute provider. Schedule your appointment by calling a California Skin Institute practice near you, or schedule online now!

Individual results may vary and are not guaranteed.

How to get rid of scars after acne?

You got rid of the active form of acne. However, this is not the most difficult part. In 90% of cases, a cosmetologist has to deal with atrophic post-acne scars. This is the most frequent “cicatricial” treatment of patients.

The reason is simple – improper care of problem skin during the active phase of acne, as well as after it. But many simply do not know the importance of following the basic steps of care. But when it comes to persistent manifestations, you should first understand.

Post-acne is post-inflammatory skin changes that form after acne, in places of acne, connective tissue grows. Since there are no universal methods for treating acne scars, it is very important to choose the right method. It depends on the severity and type of scars.

Types of scars on the skin:

• normotrophic – are on the same level with healthy skin.
• hypertrophic – in the form of growths;
• keloid – formations that grow and extend beyond the boundaries of the wound;

Post-acne scars are most often atrophic scars – the most common variant of skin scarring. Outwardly, it looks like dents, pits, that is, unlike the options listed above, it is located below the general level of the skin surface. A frequent consequence of an advanced course of acne, burns, chickenpox or other diseases.

An example of atrophic scars, a consequence of acne

When starting to work with scars, a dermatologist always examines your skin and determines the type of scars.

If you have post-acne scars, looking in the mirror, you can determine their shape:

1. Chipped scars; 2. Square scars; 3. Round scars. (in order from left to right)

1. Chipped scars are deep, narrow, funnel-shaped. Such scars are the worst to correct, because they stretch to the deep layers of the skin.
2. Square scars have vertical walls, they do not taper downward, they have different depths, but, as a rule, they are much easier to work with.
3. Rounded scars have a diameter of 4-5 mm and are formed due to the special attachment of fibrous tissue at the border of the dermis and hypodermis. Their depth of occurrence is approximately 3 mm. They are more malleable than chipped, but they are also not easy to work with.

What determines the type of scar after acne?

From how the acne element healed. If healing occurred against the background of reduced collagen production, we will get an atrophic scar, if collagen synthesis was increased, we will deal with a hypertrophic scar.

Based on the form, the dermatologist selects the most effective method of correction and a possible prognosis.

Correction of atrophic scars

Treatment of scars after acne is a very difficult, but solvable task. It requires patience and strength, and the best results can only be achieved with an integrated approach.

PicoSure picosecond laser, the only one in Tatarstan

Laser resurfacing of scars with a PicoSure or PicoCare picosecond laser

Due to the ultra-short point effect, the laser safely and quickly penetrates into the deeper layers of the skin, causing active collagen synthesis. Thus, the scar is gradually leveled and becomes less noticeable.

Further, according to the appointments of a dermatologist, further treatment may be prescribed. These are plasma therapy, biorevitalization, hyaluronic acid injections, colostotherapy, Hilight.

You should also pay attention to the use of cosmetic products for further home care.

Difficult – but real!

We are ready to take on this difficult task and work together to get the result – the choice is yours!

Removal of acne scars. Acne scar treatment. Laser, Dermapen.

Acne scars – How to remove acne scars?

Acne, or acne, is a problem not only for teenagers, but also for adults. Although modern dermatology allows you to completely get rid of this ailment, many people are unhappy with the appearance of their face even after successful treatment. The reason is characteristic post-acne scars in the form of bumps on the skin. The fight against this condition is extremely long and complicated and most often requires a combination of several methods. However, it is possible to significantly reduce scars and even remove them.

If you do not know which procedure to choose, take advantage of a free consultation with a certified cosmetologist from our clinic. Call and make an appointment.

Acne Scar Removal – Watch Video

Acne Scar Treatment Effects

Examples of treatment effects that can be obtained after using a combination therapy (chosen by cosmetologists at a free consultation) to reduce post-acne scars

Removal of post-acne scars and aesthetic medicine

How to remove post-acne scars? The most effective way will be cosmetic procedures and aesthetic medicine. You can choose from offerings such as: Palomar Emerge Laser, Harmony XL pro iPixel, Harmony XL pro Clearlift, geneO+, Cellu M6 Integral, Mobilift, Pollogen Legend, Surgen/Maximus, and Smart Xide2 CO2 Fractional Laser. In addition, maintenance therapy includes the following procedures: Dermapen, Mesopen, needle mesotherapy (cocktails, fillers), chemical peels and microdermabrasion.

Acne scar treatment in our medical offices

Acne scar removal with Palomar Emerge laser

Palomar Emerge laser is a non-ablative fractional laser. Its light pulses penetrate deep into the skin, producing controlled damage to the dermis without compromising its integrity. This process leads to the production of new fibroblasts, which in turn regenerate collagen and elastin fibers.

Laser for post-acne scars stimulates the restoration of the skin structure, and damaged tissues are replaced with new and healthy ones.

Laser acne scar treatment with excellent results. Satisfactory results can be obtained after four procedures. Even in the case of deep marks, laser treatment of scars leads to a significant smoothing of the skin texture, ~ says Natalia Munda, cosmetologist

Harmony XL Pro iPixel laser for acne scars

Harmony XL Pro iPixel laser is an effective and painless solution to the problem of post-acne scars. During the procedure, precise laser pulses create micro-damages in the skin, encouraging it to renew its cells and increase the production of collagen and elastin. After a series of procedures, the skin is restored, becomes even and smooth.

Harmony XL Pro Clearlift Laser for acne scarring

Harmony XL Pro Clearlift Laser is a non-ablative fractional laser. Acts pointwise without damaging the epidermis. Emits short, high-energy pulses that reach the dermis. The resulting microdamages stimulate skin regeneration – in the place of improperly formed scar tissue, new collagen and elastin fibers are synthesized, which even out the surface of the skin, thicken and strengthen it.

Smart Xide2 CO2 Fractional Laser for Acne Scar Treatment

Smart Xide2 CO2 Fractional Laser is a modern dual action equipment that combines the functions of laser and radio waves. It acts precisely and contactlessly, causing scars to evaporate. Non-invasively stimulates intensive skin regeneration. The result of its action is the reduction of post-acne scars.

Supportive treatments in the treatment of scars

In addition to treatments that intensively reduce acne scars, there are those that support the fight against scars. These include: chemical peels, Dermapen/Mezopen, as well as Acnelan and microdermabrasion.

Chemical peel reduces acne scars

Chemical peels are one of the most popular treatments. They show a lot of benefits. They reduce the visibility of scars, normalize the sebaceous glands, lighten pigmentation and reduce wrinkles. The use of acids regenerates the skin structures. Collagen and elastin fibers are renewed. Peelings are carried out using mandelic acid, pyruvic acid, salicylic acid and glycolic acid. Each of these substances has a different intensity. The choice of one or another acid depends on the type of skin, as well as on the effects that you want to get.

Needle mesotherapy to reduce acne scars

Needle mesotherapy is an excellent complement to other treatments for acne scars. The procedure consists in injecting appropriately prepared nutritional cocktails under the skin with a thin needle. Their ingredients stimulate the skin to produce new collagen and elastin fibers, and fill the scar from the inside. Thanks to this, post-acne scars become less noticeable.

Microdermabrasion for acne scars

Microdermabrasion is a treatment that also works well in reducing superficial acne scars. It allows you to remove the keratinized epidermis and release the younger layers of the skin. The epidermis is erased gradually with the help of a diamond head. The resulting dust is removed by a pump. The procedure allows you to thoroughly cleanse the skin, stimulates skin microcirculation and regenerative processes. After a series of procedures, you can notice the smoothing of scars.

Dermapen for acne scars

Procedure Dermapen/Mezopen is also an interesting solution. The precision head is equipped with small needles that pierce the treatment area and inject nutrients under the skin. They are tailored to the individual needs of the skin. This procedure stimulates the renewal of skin structures by mechanical action with needles and the introduction of appropriate substances under the skin.

Dermapen treatments are a very good way to remove acne scars. Dermapen, by chipping the treatment area, stimulates skin regeneration, due to which the scars are gradually reduced. Several treatments are sometimes required to obtain the desired effect , – says Marta Urbanovich, cosmetologist from Clinica Cosmetologica

Pre-Treatment Consultation – Sign up for a free consultation

Clinica Cosmetologica offers a free pre-procedure consultation. It is a necessary element of any effective therapy. An individual analysis of the skin condition and medical history will help you choose the right treatment, determine its intensity and the number of visits. This will give you the best results.

Sign up for a free consultation with our beautician

+48 791 604 604

Post-acne scars – what is it?

To understand the mechanism behind acne scarring, it is important to remember that acne is an inflammatory process. Scars are the result of our body’s struggle with ongoing changes.
When a rash appears on the face, the healing process begins. In the deeper layers of the skin, the damaged layer is replaced by granulation tissue. Collagen fibers also appear, which are initially distributed randomly. Then these fibers are replaced by new ones arranged in an orderly manner. In the next step, the collagenase enzyme engulfs the scar tissue, reducing the scar.
Unfortunately, sometimes this process goes wrong, and visible marks remain on the skin. The most common culprits are dead bacteria and cells that have not been completely removed from the area of ​​the rash.

Scars and pigmentation

When discussing the topic of scars, it is worth remembering that scars and pigmentation are two completely different problems. Under the scars understand the characteristic depressions on the skin (holes on the face after acne). In turn, pigmentation is associated with pigmentary changes. Scars are structural disorders, and pigmentation is a color disorder.